NPI 1114325305

Corey Staub

Practitioner Athletic Trainer West Warwick, RI

Practice location

Address: 6 Drawbridge Dr, West Warwick, RI 02893-5579
Phone: (401) 524-5417

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 3190437 (RI)

Other Specialist/Technologist providers in Rhode Island →

Registry record

NPI: 1114325305
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Dec 2014
Record last updated: 20 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.